Relationship of Patterns of Giving Solid Food Based on Zero Waste with the Incidence of Anemia in Infants
DOI:
https://doi.org/10.69855/bidan.v3i1.574Keywords:
MPASI, Zero Waste, Anemia, InfantAbstract
Background: Anemia in infants remains a significant public health problem in Indonesia, contributing to impaired growth, cognitive development, and reduced immunity. Inappropriate complementary feeding (MPASI) practices, including limited implementation of environmentally friendly (zero-waste) approaches, may negatively affect infant nutritional status. Objective: To analyze the relationship between zero-waste complementary feeding practices and anemia among infants aged 6–12 months at Situjuh Primary Health Center, Lima Puluh Kota. Methods: A quantitative cross-sectional study was conducted among 75 infants selected through purposive sampling. Data on complementary feeding practices were collected using structured interviews, while anemia status was determined by measuring capillary blood hemoglobin levels. Data were analyzed using the chi-square test. Results: Among the participants, 64% received zero-waste complementary feeding, and the prevalence of anemia was 32%. A significant association was found between zero-waste complementary feeding and anemia incidence (p = 0.015). Infants receiving environmentally friendly complementary feeding had a lower risk of anemia than those with conventional feeding practices (OR = 0.45; 95% CI: 0.21–0.93). Conclusion: Zero-waste complementary feeding is associated with a reduced risk of anemia in infants. Promoting environmentally friendly complementary feeding practices may help prevent anemia while supporting optimal infant nutrition and environmental sustainability.
References
Asare, H., Rosi, A., Faber, M., Smuts, C. M., & Ricci, C. (2022). Animal-source foods as a suitable complementary food for improved physical growth in 6 to 24-month-old children in low- and middle-income countries: A systematic review and meta-analysis of randomised controlled trials. British Journal of Nutrition, 128(12), 2453–2463. https://doi.org/10.1017/S0007114522000290
Basri, H., & Hadju, V. (2020). Breastfeeding and complementary food on nutritional status infants in Indonesia. Enfermería Clínica, 30(Supplement 4), 191–195. https://doi.org/10.1016/j.enfcli.2019.10.067
Bergamini, M., Simeone, G., Verga, M. C., Doria, M., Cuomo, B., D'Antonio, G., ... & Vania, A. (2022). Complementary Feeding Caregivers' Practices and Growth, Risk of Overweight/Obesity, and Other Non-Communicable Diseases: A Systematic Review and Meta-Analysis. Nutrients, 14(13), 2646. https://doi.org/10.3390/nu14132646
Hardani, H. Andriani, Helmina Andriani, dkk. (2020). Qualitative & quantitative research methods. Yogyakarta: CV Pustaka Ilmu Group.
Harrison, L., Padhani, Z., Salam, R., Oh, C., Rahim, K., Maqsood, M., Ali, A., Charbonneau, K., Keats, E. C., Lassi, Z. S., Imdad, A., Owais, A., Das, J., & Bhutta, Z. A. (2023). Dietary Strategies for Complementary Feeding between 6 and 24 Months of Age: The Evidence. Nutrients, 15(13), 3041. https://doi.org/10.3390/nu15133041
John W. Creswell, & J. David Creswell. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). Thousand Oaks, CA: Sage Publications.
Kementerian Kesehatan Republik Indonesia. (2021). Guidelines for Feeding Infants and Children (IYCF). Jakarta: Kementerian Kesehatan RI.
Laws, R., Adam, M., Esdaile, E., Love, P., & Campbell, K. J. (2022). What works to improve nutrition and food sustainability across the first 2000 days of life: A rapid review. Nutrients, 14(4), 731. https://doi.org/10.3390/nu14040731
Lutter, Chessa K.., Grummer-Strawn, Laurence., & Rogers, Lisa. (2021). Complementary Feeding of Infants and Young Children 6 to 23 Months of Age. Nutrition Reviews, 79(8), 825–846. https://doi.org/10.1093/nutrit/nuaa143
Mazzocchi, A., De Cosmi, V., Scaglioni, S., & Agostoni, C. (2021). Towards a More Sustainable Nutrition: Complementary Feeding and Early Taste Experiences as a Basis for Future Food Choices. Nutrients, 13(8), 2695. https://doi.org/10.3390/nu13082695
Miniello, Vito Leonardo., Verga, Maria Carmen., Andrea., et al. (2021). Complementary Feeding and Iron Status: "The Unbearable Lightness of Being" Infants. Nutrients, 13(12), 4201. https://doi.org/10.3390/nu13124201
Nekitsing, C., & Hetherington, M. M. (2022). Implementing a "Vegetables First" approach to complementary feeding. Current Nutrition Reports, 11(2), 301–310. https://doi.org/10.1007/s13668-022-00399-z
Nursalam. (2020). Nursing research methodology: A practical approach (5th Edition). Jakarta: Salemba Medika.
Nofitasari, T., Rahmawati, N. I., Nurhayati, E., Fatimah, F., Siswati, T., & Paramashanti, B. A. (2023). Household socioeconomic factors and minimum dietary diversity among infants and young children in Kebumen District of Indonesia. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 11(2), 94. https://doi.org/10.21927/ijnd.2023.11(2).94-103
Organization, F. and A. O. of the U. N. W. H. (2019). Sustainable Healthy Diets – Guiding Principles. https://www.fao.org/3/ca6640en/ca6640en.pdf?utm_source=chatgpt.com
Organization, W. H. (2023). Anaemia. https://www.who.int/health-topics/anaemia
Paramashanti, B. A., Dibley, M. J., Alam, A., & Huda, T. M. (2022). Wealth- and education-related inequalities in minimum dietary diversity among Indonesian infants and young children: a decomposition analysis. Global Health Action, 15(1), 2040152. https://doi.org/10.1080/16549716.2022.2040152
Santoso, B.; Wijaya, F. (2023). Complementary Feeding Practices and Anemia Risk Among Rural Infants. Nutrition & Health Journal, 29(5), 512–530. https://doi.org/10.1177/02601060231100051
Setyowati, D. (2022). Socioeconomic determinants and maternal health behavior in providing complementary feeding. Jurnal Sosial Dan Kesehatan, 7(2), 89–97.
United Nations Environment Programme. (2024). Food Waste Index Report 2024. Nairobi: UNEP.
World Health Organization. (2023). Infant and Young Child Feeding. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
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